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CITY OF TIGARD
DEVELOPMENT SERVICES MECHANICAL
PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : MEC98-1'575
DATE ISSUED: 12/30/98
PARCEL: 2SI11CC-12900
SITE ADDRESS. . . : 10335 SW HIGHLAND DR
SUBDIV1-2TON. . . . : SUMMERFIELD NO. 4 ZONING: R-7
BLOCK. , . . . . . - - - -, LnT. . . . . . . . . . . . . : 180 JURISDICTION: TIG
---------------------------------------------------------------------------------------
CLAS9 OF WORK. . :OTR FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :5F UNIT HEATERS. . . 0 VENT FANS. . . : 0
OCCUPANCY GRP. . : R3 VENTS W/O APPL: 0 VENT SYSTt--vIC- 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . : 0
FUEL 0-3 HP. . . . : 0 DOMES. INCIN: 0
:GAS 3-15 HP. . . . : 0 COMML. INCINs 0
MAX INPUT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITSc ef
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . -. 0 CLO DRYERS. . : 0
NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : I
FURN ( 100K B-rU: 0 10000 LfM: 0 GAS OUTLETS. : I
FURN ) =100K BTU: 0 > 10000 cfff : 0
Remarks : Installation of ga� fireplace and associated rias piping.
Ov,nev-: FEES
PAUL OWEN type amaunt by date r-eept
10335 SW HIGHLAND DR PRMT $ 25. 00 DEB 12/30/98 98-311823
TIGARD OR 97224 5PCT $ 1. 25 DEB 12/30/98 98-311823
Phone #:
Contractor: -------------------------------
FIRESIDE DISTRTBTRS OF ORE TKIC
13893 SW BOONES FERRY RD ---------------------
$ 26. :5 TOTAL.
PORTLAND OR 97224
Phone #: 503--684--8535
Reg #. . : 000409 REPUIRED INSPECTIONS ----- -
This permit is issued subject to the regulations contained in the Gas Line '(nsp
Tigard Municinal Code, State of !Irr. Szecialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Mi.sc. Inspection
approved plans. This permit 11 expire if work is not started Final Inspection
within 188 days of issuance, if work is suspended for more
than 180 days. ATTENTION: On i law requires you to follow rules
adopted by the Orppon Utility Notification Center, Those rules are
set forth in MR 952-811-018 through OAR 952-88I-8888. You $a,,-
obtain copies of these rules or direct questions to OUNC by calling
1^s Le Permittee SinnatLtre :
.
-;-4++++++.1+-i *;•++++++++++++++++++•++++++++++++-1•+++#+++++++++•'++++-I +++++++++.4 4 f
LCall 639-4175 by 7t00 p. m. for inspections needed the next business day
4+ ...........4........4.........................4..............4..............
08:07198 FRI 1':54 FAX 503 598 1POO CITY OF TIGARD 0001
r
Plan Cha}gcN}�
CITY OF TIGARD Mechanical Permit Application Recd 8�>r6�1�
13125 SW HALL BLVD. Commercial and Residential Da to,Rec'd ;
TIGARD, OR 97223 R� � Date to\v Date to P. --
(503) 639-4171, x304 1c�` 1 Pamtlt8, f
Print or Type �CC ��
-- - aiopinp
incomplete or illegible a pli cations will%9'be a "lled
Nam.alDev
Table ;A Mech ' 'I GM Price Amt
A Permit Fea 10.00 1
Job Slrral Address i p SuMeN -
1) Furnace to 100,000 BTU
6 D0
Address i�? 7J J alil includin ducts 3 vents
BIdgN CNyr6ute(\ Zlp 2) Furnace 106,000 BTU+
1 c A rg �q� ) 4 ch idlrri dues d vents ---- _--- 7.50_
---- Nemo(or name&business) 3) Floo,Furnace
Including vent 600
Owner - - —
L---- ---- -- 4) Suspeided heater,well heater
Meiing Addraa. t, or Noor ,mounted heater 6.00
10 3 r3 Su f N�;_,k r�V i - 5) Vent ncl Included In appllrnce permit
City/State Zip 31 Phoni 3 00
CHECK ALL M "Boller Heat Alr
THAT APPLY: or Pumt
Pump Cond Qty Price Arn
Hama(or name or business)
(� q�� C •J1d\%Q-"
C--�_F
6)<3HP;abwrb uu11t to —
Occupant Maikg arasi-'-� � --- 100K BTU_- �— _ Boo
HP,absorb unit �7
-- 100k to 5DOk BTU11 00
Cdyl9ula Grp Pton• —
8)1530 HP;absorb
_ unit.5-1 inll BTU _ 15 0U
Contractor """` ^- 9)30-50 HP;absorb
V1�c unit 1-1 75 mil BTU 22.50 J
10)>50HP.absorb unit -
PrlOr to permit Mailing Addi ass +'�
Issuance a ` f f f\ ?1.15 Intl BTU 37.50
y 1C1_ -_Shcsiitia.s
of a1 licences 1•dyislate Zip one 11)Air handling unit to 10,000 CFM
PRI q - r 3t
45D
are required f \ O� Q _LI u
expired in Cllr Oregon Conn Coni ecia l A Eyo Deis 12)Ar'tendling will 10.000 CFM+
database _Q_ 7.50
Architect """a 13)Non-portable evaporate coolor-
„ -- 450
14)Vena s
Vent fan connected to ingle duct----
Mednp Address or _ 300
t 5)Ventilation ay�tem not Incwded In
Engineer cTtyls`t.!e zip TPnone appliance Porn[it _- - L- _4 50 -
16)Hood served by mechanical exhaust 4 5U
pparr�e work to be done 7)Domestic Incinerators T
150 _
New 0 Repair O Replace with Ike kind Yes O No O 18)Commercial or Irtdualrial to•incineratorPosidenlial• Commercial U 30.00
Addtlonal inlonnation or descnption of work - 19);iopair units -
450
20)Wood stops - T-— - 450
21)Clothes dryer.etc.
450
Type o'fuel. oil 0__n.t I I_i.I gos le I PO O electric O 22)Other units A ' 4 1'�0
� ��ILA, '1
I hsreoy h nowledge that I have sad this application,that the information 23)Gas Piping ane to tour outlet! Otl
2.00
given Is correct,that I am the owner or authorized agent of P4 Mors than A-w outbt each
the owner,that plans submitted are In comp)encs wftn Oregon State laws ) I ( ) 50
signature of OwnerlAgent Dau Mlnhhum Permit Fee Zi26.00 W SUBTOTAL
.- - - I
5.:SURCHARGE
Phone PLAN REVIEW 25%25 OF SUBTO
Contact Psnon Name a 'f
Required- for ALL cdnmerclal-permits ontY
TOTAL
'Slate Contractor Boiler Certification required
"Residential A/C requbes site plan stowing plecerno t of unit
I\nrechperm doc rev 07120198
J
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 —
BUP
Date Requested _AM�PM — BLD _
Location _-��-�-' sT / c .� Suite - MEC
Contact Person Ph _ — PLM
Contractor _ _ _ Ph SWR -
BUILDING — Tenant/Owner ►" � 2 �Q LL �- �� 2y(!> ELC — —
Retaining Wall ELR _
Focting Access:
Folrrdatinn FPS
i=tg `rain
Crawl Drain Inspection Notes: SGN ----_____
Slab --- ---- '�' c - - SIT
Post&Beam �-
Ext Sheath/Shear _
Int Sheath/Shear —
Framinp -- ---- --- -
Insulation
Drywall Nailing
Firewall -- -_---
Fire Sprinkler
Fire Alarm —- - --------___.-___- ----- _--
Susp'd Ceiling ---____
Roof
Misc. _ -- -- - - ----
Final
PASS PART FAIL --- —
PLUMBING
Post& Beam ...._-
Under Slah
Top Out _,...-
Water Service
Sanitary Sewer --- ---- -- - ---- - -- -
Rain Drains
Final -- ---- ---- ---
PASS PART FAIL
MECHANICAL - --
Punt$ Beam
Rough In
Gas Line - - -- - -- - - - ------_----------- -
Smoke Dampers
A PART FAIL
Tr-ECTRICAL
Service _
Rough In
UG/Slab
Low Voltage ------- --- -- ----- •— —.
Fire Alarm
Final ---- -------- ----
PASS PART FAIL
SITE
Backfill/Grading ---- ---- ---- ----- - ----------
Sanitary Sewer
Storm Drain [ )Reinspection fee c $_-- required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ) Please call for reinspection RF __�-- _—� [ ] Unable to inspect- no access
ADA
Apprcach/Sidewalkr-
-)ther Date _�� __-Inspector � - Ext
F inal
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.